ID 25094
Author
Miki, Keisuke Department of Internal Medicine, Kochi Nokyo General Hospital
Shinohara, Tsutomu Third Department of Internal Medicine, The University of Tokushima School of Medicine
Ogushi, Fumitaka Third Department of Internal Medicine, The University of Tokushima School of Medicine
Sone, Saburo Third Department of Internal Medicine, The University of Tokushima School of Medicine Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Yamada, Hirotsugu Second Department of Internal Medicine, The University of Tokushima School of Medicine Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Oishi, Yoshifumi Second Department of Internal Medicine, The University of Tokushima School of Medicine
Wakatsuki, Tetsuzo Second Department of Internal Medicine, The University of Tokushima School of Medicine Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Ito, Susumu Second Department of Internal Medicine, The University of Tokushima School of Medicine Tokushima University Educator and Researcher Directory
Yogita, Shiro First Department of Surgery, The University of Tokushima School of Medicine
Tashiro, Seiki First Department of Surgery, The University of Tokushima School of Medicine Tokushima University Educator and Researcher Directory
Keywords
Hypoxemia
liver disease
contrast echocardiography
pulmonary angiography
99mTc macroaggregated albumin (99mTcMAA) lung scan
Content Type
Journal Article
Description
We report a 70-year-old man with hepatopulmonary syndrome (HPS) in C liver cirrhosis. Hypoxemia worsened markedly, especially on exertion, while the hepatic function was clinically stable. Contrast echocardiography, 99mTc macroaggregated albumin (99mTcMAA) lung scan, and pulmonary angiography were performed. The findings suggested the presence of both intrapulmonary vascular dilatation and substantial right-to-left shunt. The contribution of intrapulmonary vascular abnormalities in patients with severe liver cirrhosis without abnormal chest radiography and spirometry tests when marked hypoxemia is present should be investigated.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
47
Issue
3-4
Start Page
164
End Page
169
Sort Key
164
Published Date
2000
Remark
EDB ID
FullText File
language
eng
departments
University Hospital
Medical Sciences